| NPI | 1982135034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD467983) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A187971) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-10-16 |